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Perceived Stigma Toward Cognitive Impairment Among People With Schizophrenia
Lauren Gonzales1, Alice M Saperstein1, Nev Jones1
1Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City, and New York State Office of Mental Health, Albany (Gonzales, Saperstein, Erlich, Medalia); School of Social Work, University of Pittsburgh, Pittsburgh (Jones).
Psychiatric Services (Washington, D.C.)
|August 2, 2024
Summary
Individuals with cognitive impairment associated with schizophrenia (CIAS) commonly experience CIAS-related stigma. This stigma is linked to internalized stigma and reduced motivation, impacting recovery.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Schizophrenia spectrum disorders are frequently accompanied by cognitive impairment (CIAS).
- Stigma surrounding mental illness negatively impacts treatment access and outcomes.
- The relationship between CIAS and stigma remains underexplored.
Purpose of the Study:
- To investigate the prevalence of CIAS-related stigma in individuals with schizophrenia spectrum disorders.
- To examine the association between CIAS-related stigma and recovery-relevant outcomes.
Main Methods:
- The study analyzed data from 48 individuals diagnosed with schizophrenia spectrum disorders undergoing cognitive remediation.
- Participants completed validated measures assessing CIAS-related stigma, internalized stigma, self-perceived cognitive deficits, cognitive performance, and quality of life.
Main Results:
- CIAS-related stigma was frequently reported by participants.
- CIAS-related stigma showed significant positive correlations with internalized mental illness stigma and self-perceived cognitive impairment.
- CIAS-related stigma was significantly negatively associated with motivation for goal-directed behavior and daily activities.
Conclusions:
- CIAS-related stigma is a prevalent issue among individuals with schizophrenia spectrum disorders.
- The findings underscore the need for further research into the implications of CIAS-related stigma for psychiatric service delivery and patient recovery.
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